Qutaybeh S Maghaydah, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

234099 Issued in NY

Practice address

310 Taughannock Blvd
4TH Floor
Ithaca, NY 14850-3231

Phone

(607) 269-0100

Fax

(607) 269-0140

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)
• Barnert FCC Housemeds Group

  • Health Maintenance Organization
  • Paterson, NJ
  • NPI 1972780088
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1083651285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-472-1488",
            "fax_number": "315-476-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TAUGHANNOCK BLVD",
            "address_2": "4TH FLOOR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503231",
            "telephone_number": "607-269-0100",
            "fax_number": "607-269-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHAYDAH",
        "first_name": "QUTAYBEH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "234099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Trees Mack, PHD
• James Macmillan, M.D.
• Douglas D Macqueen, MD
• Tess Elizabeth Macqueen, PA-C
• Yulia Maggart, MSN, RN, APRN
• Lodewijk Anton Magre, M.D.
• Jaclyn Borza Maher, D.C.
• Akram H Mahmoud, DO
• Jennifer Maine
• David Maldow, M.D.

• Cardiovascular Disease Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.